Surgical appaliance



S. FERRAGAMO. SURGICAL APPLIANCE.

- APPLICATION FILED 056.2, 1920. 1,399,606, Patented D60. 6, 1921.

2 SHEETS-SHEET 1.

- S. FERRAGAMO.

SURGICAL APPLIANCE. APPLICATION FILED DEC.2. I920.

Patenied Dec. 6, 1921.

2 SHEETS-SHEET 2- STATES sanvn'ronn rnnnnennto, or SANTA BARBARA,canrronivra.

SURGICAL AIEPLIANGE.

neeaeoe.

lPatented ne a, rear.

Application filed December 2, 1920. Serial No. 427,740.

T all whom may concern:

plates a novel leg produce areadily attached stretch Be it known that I,SnLvAronn FERRA- eAMo, a citizen of Italy, residmg at Santa Barbara, inthe county of Santa Barbara and ldtate of California, have inventedcertain new and useful lmprovementsin Sur- A ing and more especially theparallel binddevice, the said frame being arranged and ing members orstrips, whereby a direct" and more effective pull 1s exerted upon theAnother object of this invention is the production of a surgicalstretching device in which a novel frame is interconnected between thesurgical dressing and a pulling adapted to slidinglysupport a suitablefoot form oi' orthopedic shoe for more positloning the Another object ofthis invention is to produce a readily removable and comfortablyconstructed foot support or shoe, the sa' l shoe being provided withnovel means for adjustably attaching the same to the stretching frame,and arranged to move' thereon independently of the movement imparted tothe leg by the pulling device,

'With these and otherbbjects inview the invention further consists inthe comparatively simple construction of the several parts to be morefully hereinafter described and pointed out inthe appended claims.-

"In the accompanying drawings illustrating an embodiment views:

proved apparatus shown? in. associated position with a surgicallegClTBSS1I1g;.

view on the line 2--2 of Fig. '1;

effectively injured portion of the ,leg and foot, therebymateriallyadding to the comfort of the patient;

" dressing of my invention, and .according in which similar referencecharacters desig- "nate corresponding parts ll l the several throughturnbuckle pulling device on the line 3-3 of Fig. 2;

Fig. 4: is an enlarged sectional view through the foot support ororthopedic t F 5 is a detached perspective view of the insole or footsupporting pad;

Fig. 6 is a similar v ew of the bar inserted within afpocket oftheinsole for stiffening the footsupport;

Fig. 7 is a detail View of the body p0rtion of the shoe in a developedposition and prior toits attachment tothe base of the shoe;

Fig. 8 is a detail view of a modified form of turnbuckle utilized toeffect the stretching of the leg; and

Fig. 9 is a view of still another modified form of the pull exertingmeans, including a chain adapted to be twisted by an" ordinary bar orrod, l

The present invention has been designed with a view tomateriallyincreasing the comfort of the patient, and at the same timemore effectively impart the necessary pullingor stretching force to theinjured limb. This is accomplished by utilizing certain portions of thesurgical. dressing and preferably the longitudinal or parallelbindingstrips upon either side of the leg. 1 @uitable connecting devices orrings are provided on these binding strips and it "is to these ringsthat thestretching frame is attached. The pulling means is directlyconnected to the stretching frame, but as shown the foot supportisindependently movable with re-' lation to the movement of the stretchingframe,

This construction has beenfound to per- "mit of a more accurateandbeneficial adjustment of the apparatus and permit of its adaptationto a greatervariety of fractures,.spra1ns and other njuriesto the leg jor foot.

Referring to the. drawings, the surgical 1 may be of ordinaryconformation to the character of the injury, andincludes the bindingmembers or strips 2,;si1itably bound upon either side of the leg by awrappingfi. This wrappingcon- Figure 1 is perspectiveview of my imsistspreferably of. anadhesive material, and

likewise the strips may also be of thesame material. Fig; 2 is anenlarged horlzontal sectional Connectinp; devices t are secured to theas. e t ei t in a as o ar the form of triangular ring members se shield17 is also ranged within the and forming the side walls thereof aresimilarly padded surfaces particularly the toes.

:tively associated i theshoe. A pocket 21 serted, for increasing theport and otherwise stiffening theextending portion's'jof the insole.

cured to the strips by rivets or stitching, or in any other approvedmanner. The arrangement of the triangular ring is such as to permit ofone of its sides being secured" to the strips 2, thereby allowing theeye 6, adapted to be connected with the triangular. ringt." A ring? isswiveled in the cross bar of the frame Sand has connected therewith oneend of a turnbuckle 8. The opposite end of theturnbuckle is connected toany suitable support such for example as theend of a bed as shown, or itmay be desirable to utilize some other means of relatively fixedsupport. An operating device 9 in the'form of a ring 10 provided withradial arms ll is preferably secured to the frame of the turnbuckle tofacilitate its easy operation.

The foot supporting'or orthopedic shoe 12 consists of a base 7 bindingstrip 15 may be used to hold the body portion in place. The body portionof the shoe may be composed of leather, rubber, or other suitablematerial, and isprovided with fastening straps andbuckles. 16. Anunderlying 7 provided, the same being either attached to orformed'integralwith thebody portion of the shoe. Beneath the shield l? arelatively soft pad or pillow 18 maybe inserted as will be understood.Ar-

body portion of the-shoe 19,the same being either attached to .orremovably positioned within the shoe. These padded surfaces or pillows19 are provided upon both side walls of the/shoe andalso at the rearthereof for the easy resting of the heel as will .beunderstood. 'Adetachable insole 20 is cooperav with-the shoe and serves to add to thesupport of the foot. and more This insole is relatively large andextendsbeyond the base of isformed in the insole-and into this pocket a bar22may be inrigidity of thesup- In some cases it is desirablefto insertthislbar and maintain the d foot and toes in substantially a fixed ornonmovable position, and then again the bar may I be removed. forpermitting 'a certain amount ofmovement or flexing of the insole. Insome casesthe msole may be entirely re- The hooks 1 turnbuckle shown in7 board l3 to which is se-' cured the body portion 14. A

shortening the length of the frame.

dependently of moved and the forward portion of the foot and toespermitted to freely move. The shoe is supported upon the frame 5 bymeans of connecting devices in the form of screw hooks a3, adjustablypositioned within the holes 2 1 arranged upon each side of the shoe. arepreferably screw threaded at one end and are provided with relativelylong arms adapted to extend over the U- frame as shown. By thisconstruction it will be seen that the shoe is independently movableuponthe frame 5, thereby permitting of such slight longitudinalmovements of the foot as may be deemed advisable for the comfort of thepatient. Likewise it will be noted that the vertical position of theshoe canbe adjusted, thereby further permitting of a more accuratepositioning of the foot with respect to the injury. The regulations ofthe several supporting and stretching de vices are apparent from theforegoing construction, and its simplicity of construction andapplication permit of its adoption with attending minimum expense. Inthe form of Fig. 8 the radial arms 11 are pivotaly secured to the ringmember 10 thereby permitting of their collapse. Lips 11 are formed onthe arm 11 as shown andv limit the movement of the arm in a verticalposition when operating the turnbuckle. 95 This form of turnbuckle maybe used where it, is desirable toreduce the number of pro truding partsof the device. In Fig. 9 another form of pulling means is disclosedwherein a chain 1O" is interconnected be 100 tween the swiveled ring 7and a suitable support 10 rod or bar 10 is inserted through link of saidchain and twisted, thereby chain and ereating a pulling action upon thestretching 1 This simple form may be adopted. where it is desirable togive a temporary pull to the leg. From the foregoing it will be obviousthat a comparatively inexpensive and at the same time highly efl'ectivestretching device has'been provided capable of hen v eficial andsubstantially painless adaptation associatedwith said frame, means forvertically adjusting the position of said shoe with respect to theframe, said means also serving to support the shoe upon the frame, and 12 means'for moving said stretching frame inthe shoe supported thereon.2. In asurgical supporting and stretching apparatus, the combinationwith a surgical ressing involving binding members arranged upon eachside of said dressing, of a movable stretching frame secured to each ofsaid binding members, a stretching means interconnected with said frameand a relatively fixed support, and a supporting shoe provided withconnecting devices slidingly positioned upon said frame wherebyindependent longitudinal movement between said fframe and shoe may beeffected, said constrips,oi"' a movable U-shaped frame having side armsconnected to each of said strips, a swivel connectlon provlded in saidframe,

and means including a screw interconnected with said swivel and arelatively fixed sup port formovmg the aforesald frame.

4.1a surgical appliance comprising a stretching frame havinglongitudinally disposed side arms and a supporting shoe movably mountedupon said arms, the said shoe being'provided with an adjustableconnecting device for regulating the height of said shoe and including aremovable insole having a detachable stiffening member.

5. A surgical appliance comprising a leg stretching lt'rame, asupporting shoe slidingly mounted upon said frame having openingstherein, and devices including pins adj ustably positioned in the saidopenings provided in the shoe, said pins being adapted to rest upon theframe for slidingly supporting the shoe thereon.

In testimony whereof I afiix my signature, in presence of two subscribinwitnesses.

SALVATORE FE RAGAMO.

Witnesses 'DUKE STONE,

RALPH W. CLINTON.

